Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018 A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology *

Update Highlights In October 2014, the American Society of Anesthesiologists Committee on Standards and Practice Parameters recommended that new practice guidelines addressing moderate procedural sedation and analgesia be developed. These new guidelines:Replace the “Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists: An Updated Report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists,” published in 2002.1Specifically address moderate sedation. They do not address mild or deep sedation and do not address the educational, training, or certification requirements for providers of moderate procedural sedation. (Separate Practice Guidelines are under development that will address deep procedural sedation.)Differ from previous guidelines in that they were developed by a multidisciplinary task force of physicians from several medical and dental specialty organizations with the intent of specifically addressing moderate procedural sedation provided by any medical specialty in any location. New recommendations include:Patient evaluation and preparation.Continual monitoring of ventilatory function with capnography to supplement standard monitoring by observation and pulse oximetry.The presence of an individual in the procedure room with the knowledge and skills to recognize and treat airway complications.Sedatives and analgesics not intended for general anesthesia (e.g., benzodiazepines and dexmedetomidine...

Source: Anesthesiology - February 14, 2018 Category: Anesthesiology Source Type: research